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226 N Main, Lodi, CA 95240 PR0516176 <br /> 09/29/2021 Program: HW <br /> PHOTO 3: <br /> Disposal records for treated wood waste found on site for December 2020 and used to calculate total hazardous waste tonna e for 2020 <br /> VA <br /> 1 1 : <br /> r _ <br /> NORTH COUNTY RC & LANDFILL NORTH COUNT`1RRC & LANDFILL NORTH COUNTY RC & LANDFILL <br /> 17720 EAST HARNEY LANE 17720 EAST HARNEY LANE 17720 EAST HARNEY LANE <br /> LODI, CA 887-3868 LODI, CA 887-3868 LODI, CA 887-3868 <br /> MON - SUN 7AM TO 4PM MON - SUN 7AM TO 4PM MON - SUN 7AM TO 4PM <br /> Weighed: MELISSA Weighed: Lara Weighed: Lara <br /> BILL TO: 139 BILL TO: 139 BILL TO: 139 <br /> -FARWEST SAFETY, INC. FARWEST SAFETY, INC. FARWEST SAFETY. INC. <br /> 226 N. MAIN ST. 226 N. MAIN ST. 226 N. MAIN ST. <br /> LODI CA 95240 LODI CA 95240 LODI CA 95240 <br /> Vehicle ID: 67676C1 Vehicle ID: 6767601 Vehicle ID: 6767601 <br /> Reference: Reference: Reference, <br /> COMPANY: JOHN ASHE PHONE #: JOHN ASH PHONE #: JOHN ASH <br /> PHONE #: TREATED WOOD LOAD #: TREATED WOOD LOAD LOAD #: TREATED WOOD LOAD <br /> Origin: LODI _ Origin: LODI Origin: LODI <br /> DATE IN: 12/22/2020 TIME IN: 14:45:37 DATE IN: 12/22/2020 TIME IN: 13:28:40 DATE IN: 12/22/2020 TIME IN: 11:54:49 <br /> DATE OUT: 12/22/2020 TIME OUT: 14:45:37 ;- DATE-OUT: 12/22/2020 TIME OUT: 13:28:40 DATE OUT: 12/22/2020 TIME OUT 11:54:49 <br /> INBOUND TICKET Number: 58-00533113 I INBOUND TICKET Number: 58-00533067 IN N 1' CKET Number: 58-00532999 <br /> i <br /> SCALE 2 GROSS WT. 15100 LB SCALE 2 GROSS WT. 15520 LB r -Sr E-'T-GROSS VIT. <br /> STORED TARE WT, 12980 LB '^„+ -F(�ST0KD((TARE WT. is 12940_ LB S D TARE WET L' 1251 11t�B <br /> NET WEIGHT 2120 LB 1_NE. IE:TGHIM E WEIGHT 2200 LB <br /> Oty Description Amount Qt (De§ rp on A"0unf f 1�"" <br /> y� � Qt�Description �. � ..• Amoup <br /> 1.06 7REA(iDQ RECYCLE 53j6� -7j'f �1 27 TR �TED} OD RECY �E 7:' i�611.=30 - ry"-fi$iREATEB-W00[5 R� `tCCE <br /> T1 ..`.A d�l� &7•� F�K�T AMOUNT: �1 ..�!`�_ 6h.30,- j. �.._.__�..__... `�'4• ; _: �_y <br /> C # . ! �� . ,ter''i �: _. ;v ..r_ TICKET AMOUNT: 55.69 <br /> VICKY VANG-LEE, EHS Page 3 of 5 <br />